Focal organizing pneumonia simulating lung malignancy: treated with prednisolone
Hemanth Kilaru1, Mohd Vaseem Jalna1, Satish Chandra Kilaru1
1Pulmonology Prathima Institute of Medical Sciences Karimnagar India.
Respirology Case Reports
|August 14, 2019
Summary
Focal cryptogenic organizing pneumonia (FOP) can mimic lung cancer. This case study shows successful treatment with prednisolone, avoiding surgery for this rare condition.
Area of Science:
- Pulmonology
- Pathology
Background:
- Focal cryptogenic organizing pneumonia (FOP) is a rare, localized form of cryptogenic organizing pneumonia (COP).
- It presents with non-specific symptoms and imaging findings that can resemble lung malignancy.
- Idiopathic FOP incidence is unknown, with limited data primarily from case series.
Observation:
- A 62-year-old female presented with dyspnea, dry cough, and low-grade fever.
- Imaging revealed a solitary lung consolidation.
- Computed tomography-guided biopsy confirmed an organizing pneumonia pattern.
Findings:
- A therapeutic trial with prednisolone led to complete resolution of FOP.
- Surgical resection was avoided in this case.
- No recurrence was observed during a 12-month follow-up period.
Implications:
- Non-surgical management with corticosteroids may be effective for focal cryptogenic organizing pneumonia.
- This case expands treatment options beyond surgical resection for FOP.
- Further research is warranted to understand FOP's incidence and optimal therapeutic strategies.
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